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WAL-MART PHARMACY 10-1282
CAH171349-00 Cloud County Health Center
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Covered Entity Details
Entity Name
Cloud County Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171349-00
Entity Address
155 West College Drive
Concordia, KS 66901
Medicare Provider Number
171349
Participating Start Date
4/1/2014
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1282
Pharmacy Address
140 EAST COLLEGE DRIVE
CONCORDIA, KS 66901
Pharmacy Comments
Contract Details
Approval Date
4/2/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don Bates, President & CEO
(785) 243-1234 Ext: 500
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/2/2014
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